RESUMEN
BACKGROUND: Providing quality clinical sites and preceptors is one of the greatest challenges for nurse practitioner programs. PURPOSE: To conduct a national survey of nurse practitioner (NP) program directors to better understand the complex process for clinical site placement in the United States. METHODS: In 2018, a web-based survey was sent to program directors to ascertain the faculty and staff effort allocation and processes related to NP student placements, the number of required clinical rotations, the total hour requirement, and preceptor incentives and barriers. FINDINGS: There was a 47% survey response rate. Variation in processes was found across NP programs. Almost 14% of respondents said that students were required to find sites entirely on their own. Ten percent of faculty reported devoting 90% to 100% of their effort to finding preceptors. Preceptors and sites were rarely paid, but other incentives were common. DISCUSSION: It is vital for NP programs to streamline clinical placement processes, to foster academic-practice partnerships, and to advocate for federal funding to train the future NP workforce.
Asunto(s)
Enfermeras Administradoras/organización & administración , Enfermeras Practicantes/educación , Preceptoría/normas , Estudiantes de Enfermería , Educación de Postgrado en Enfermería , Humanos , Internet , Motivación , Encuestas y Cuestionarios , Estados UnidosRESUMEN
Cardiovascular disease increases incrementally with age and elderly patients concomitantly sustain multimorbidities, with resultant prescription of multiple medications. Despite conforming with disease-specific cardiovascular clinical practice guidelines, this polypharmacy predisposes many elderly individuals with cardiovascular disease to adverse drug events and non-adherence. Patient-centered care requires that the clinician explore with each patient his or her goals of care and that this shared decision-making constitutes the basis for optimization of medication management. This approach to aligning therapies with patient preferences is likely to promote patient satisfaction, to limit morbidity, and to favorably affect healthcare costs.
